Individual
ANDREA J WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
345 HIGHWAY 15 N, PONTOTOC, MS 38863-1105
(662) 489-7460
(662) 489-7938
Mailing address
345 HIGHWAY 15 N, PONTOTOC, MS 38863-1105
(662) 489-7460
(662) 489-7938
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19237
MS
Other
Enumeration date
05/19/2006
Last updated
02/21/2011
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